杨志平

【摘要】 目的：探究助产护士参与产前门诊干预对初产妇的影响。方法：选取2016年3-12月来笔者所在医院分娩的同意参与此次研究的100例初产孕妇为研究对象，随机分为对照组和观察组，每组50例。对照组给予常规护理宣讲，观察组则提供助产士产前门诊干预服务，比较两组初产妇焦虑、抑郁情况及分娩结局。结果：在护理干预后，两组初产妇的SDS和SAS评分均降低，但观察组的评分明显低于对照组（P<0.05）。观察组的初产妇自然分娩率和Apgar评分均明显高于对照组，剖宫产和胎儿窘迫的发生率则明显低于对照组（P<0.05）。结论：助产护士参与产前门诊干预可以降低初产妇抑郁、焦虑指数，也可对分娩方式和分娩结局产生积极的影响，值得进一步推广应用。

【关键词】 助产士； 产前门诊； 初产妇

doi：10.14033/j.cnki.cfmr.2018.11.077 文献标识码 B 文章编号 1674-6805（2018）11-0157-02

The Effect of Midwives Antenatal Clinic Intervention on Primipara/YANG Zhiping.//Chinese and Foreign Medical Research，2018，16（11）：157-158

【Abstract】 Objective：To explore the effect of midwives antenatal clinic intervention on primipara.Method：From March 2016 to December 2016，100 pregnant women were enrolled in this study.They were randomly divided into the control group and the observation group.Each group had 50 cases.The control group was given routine nursing counseling，the observation group to provide midwifery prenatal clinic services，the two groups of early maternal anxiety，depression and delivery outcome were compared.Result：The scores of SDS and SAS were decreased in the both groups，but the score of the observation group was significantly lower than that of the control group（P<0.05）.The incidence rate of spontaneous delivery and Apgar score in the observation group were significantly higher than those in the control group.The incidence of cesarean section and fetal distress was significantly lower than that of the control group（P<0.05）.Conclusion：The intervention of maternity nurses in prenatal clinic can reduce the depression and anxiety index of primipara，but also have a positive effect on the mode of delivery and delivery.It is worthy of further application.

【Key words】 Midwives； Antenatal clinics； Primipara

First-authors address：Ezhou Maternal and Child Care Service Centre，Ezhou 436000，China

從怀孕到分娩是一个漫长的生理过程，并极易出现各种不确定因素，整个孕期产妇的精神和机体都处于超负荷状态[1]。尤其对于初产妇而言，对妊娠和分娩的认知程度低，在接近预产期时极易出现紧张慌乱和不知所措的状态，这在一定程度上降低了自然分娩率，且容易出现不良妊娠结局[2-3]。助产护士产前门诊可以让孕妇科学地了解生产过程和分娩常识，避免错误的认知导致精神压力增大。

1 资料与方法

1.1 一般资料

选取2016年3-12月来笔者所在医院分娩的同意参与此次研究的100例初产孕妇为研究对象，纳入标准：（1）初产孕妇；（2）不存在妇科疾病和感染；（3）单胎妊娠；（4）清楚研究目的并签字确认。产妇年龄21～34岁，孕周25～30周。随机分为对照组和观察组，每组50例。两组初产妇年龄、孕周、体重及胎心监护NST评分方面比较，差异无统计学意义（P>0.05），见表1。

1.2 方法

对照组初产妇由门诊护士为其讲解孕期保健知识，数胎动的方法，并告知即将分娩的症状及自然分娩和母乳喂养的好处。……